NPI | 1386834661 |
---|---|
Doing Business As | VIBORG MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | GEORGIA POKORNEY CEO 605-326-5161 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2007-08-01 |
Last Update Date | 2012-01-04 |